Individual
KYUNG S. PARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9501 FARRELL RD, SUITE G-C11, FORT BELVOIR, VA 22060-5901
(703) 805-0948
(703) 805-9025
Mailing address
1050 NORTHFALLS CT, GREAT FALLS, VA 22066-1551
(703) 450-8717
(703) 405-3838
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101042804
VA
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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